昆明医科大学附属延安医院收治的9303例恶性肿瘤首诊患者流行病学特征分析  

Analysis on epidemiological characteristics of 9303 first-time patients with malignant tumor in Yan’an Hospital Affiliated to Kunming Medical University

作　　者：杨舒 李晶[1] 冯燕[1] 王若思 张俊霞 YANG Shu;LI Jing;FENG Yan;WANG Ruo-si;ZHANG Jun-xia(Department of Preventive Medicine,Yan'an Hospital Affiliated to Kunming Medical University,Kunming Yunnan,650051,China)

机构地区：[1]昆明医科大学附属延安医院预防保健科,云南昆明650051

出　　处：《职业与健康》2020年第17期2351-2355,共5页Occupation and Health

摘　　要：目的了解昆明医科大学附属延安医院恶性肿瘤首诊患者的性别、年龄分布、职业分布、疾病构成及肿瘤顺位,掌握恶性肿瘤首诊患者的主要疾病种类,为有关部门对恶性肿瘤防控政策的制定提供科学依据,为恶性肿瘤救治及学科建设提供基础信息。方法以国际疾病分类(ICD-10)编码为标准对恶性肿瘤进行分类,通过医院病案信息化管理系统收集2010—2018年昆明医科大学附属延安医院收治的9303例恶性肿瘤住院患者基础信息及疾病诊断相关信息,针对恶性肿瘤的性别、年龄分布、疾病构成及肿瘤顺位等方面进行描述统计分析。结果2010—2018年住院恶性肿瘤患者共9303例。其中,男性5415例,占58.2%,女性3888例,占41.8%,男女性别比为1.39∶1。41~<81岁人群是恶性肿瘤高发人群,并且该年龄段人群排在第1位的恶性肿瘤是肺及支气管恶性肿瘤。此外,恶性肿瘤的发生有低龄化趋势(rs=-0.767,P<0.05),0~<21岁年龄人群恶性肿瘤以白血病为主。在所有职业类型中退(离)休人员和农民的病例数依次位居第1位和第2位。在所有恶性肿瘤中主要疾病类型为肺及支气管、肛肠、肝、乳腺、甲状腺、膀胱、白血病、胃、前列腺、子宫恶性肿瘤,占全部恶性肿瘤住院患者的71.5%。在前10位恶性肿瘤中男性患者多于女性患者,男性恶性肿瘤患者中排在前3位的依次是肺及支气管、肛肠和前列腺恶性肿瘤,女性前3位依次是肺及支气管、肛肠和乳腺恶性肿瘤。结论恶性肿瘤住院患者疾病构成存在性别、年龄及职业差异,41~<81岁是恶性肿瘤高发人群,且肿瘤的低龄化趋势明显。因此,应针对恶性肿瘤的高发人群和多发种类,在诊断及治疗上开展新技术新项目的同时运用病因预防的方法,有效降低其发病率。Objective To understand the gender,age distribution,occupation distribution,disease composition and tumor order of the first-time patients with malignant tumors in the Yan’an Hospital Affiliated to Kunming Medical University,master the main diseases of the first-time patients with malignant tumors,provide scientific basis for the relevant departments to formulate the prevention and control policies for malignant tumors,and provide basic information for cancer treatment and discipline construction.Methods The malignant tumors was classified according to the International Classification of Diseases(ICD-10).The basic information and disease diagnosis information of 9303 inpatients with malignant tumors admitted to the Yan’an Hospital Affiliated to Kunming Medical University from 2010-2018 were collected through the hospital information management system.Descriptive statistical analysis was performed on the gender,age distribution,disease composition and tumor order of malignant tumors.Results A total of 9303 patients with malignant tumors were hospitalized from 2010 to 2018,including 5415 males(58.2%)and 3888 females(41.8%),and the male-to-female ratio was 1.39∶1.The population aged 41-<81 years old had a high incidence of malignant tumor,and the first malignant tumor in this age group was lung and bronchial malignancies.In addition,the occurrence of malignant tumors tended to be younger,and the first malignant tumor in 0-<21 age group was leukemia.In all occupational types,the cases of retired workers and farmers ranked first and second.The main disease types were malignant tumors in lung and bronchus,anorectal,liver,breast,thyroid,bladder,leukemia,stomach,prostate,and uterine malignant tumors,accounted for 71.5%of all inpatients with malignant tumor.The male patients with top ten malignant tumors were more than female patients.The top three malignant tumors in males were lung and bronchial,anorectal and prostate malignant tumors.The top three malignant tumors in females were lung and bronchial,anorectal and

关 键 词：恶性肿瘤 疾病构成 肿瘤顺位 预防控制 

分 类 号：R181.32[医药卫生—流行病学]